<%@ page contentType="text/html;charset=UTF-8" %>
<%@ include file="/WEB-INF/views/include/taglib.jsp"%>
<!DOCTYPE html>
<html style="padding: 0;">
	<head>
		<title>用户申请</title>
		<meta name="viewport" content="width=device-width, initial-scale=1">
		<%@ include file="/WEB-INF/views/site/inc/head.jsp"%>
		<script type="text/javascript" src="${ctxStatic}/custom/site/js/distpicker.data.js" ></script>
		<script type="text/javascript" src="${ctxStatic}/custom/site/js/distpicker.js" ></script>
	</head>
	<body style="padding: 0;">
		
		<!--login box-->
		<section class="login_sec">
			<div class="container">
				<a href="${ctxFront}/site"><img class="center-block logo_pic" src="${ctxStatic}/custom/site/images/logo.png" height="50"></a>
				<div class="login_box">
					<form>
						<div class="form-group">
							<label for="exampleInputEmail1">公司名称</label>
							<input type="text" class="form-control" id="exampleInputEmail1" placeholder="输入公司名称">
						</div>
						<div class="form-group">
							<label for="exampleInputEmail1">所在地区</label>
							<div class="sq_area" data-toggle="distpicker">
								<select></select>
								<select></select>
								<select></select>
							</div>
						</div>
						<div class="form-group">
							<label for="exampleInputPassword1">姓名</label>
							<input type="text" class="form-control" id="exampleInputPassword1" placeholder="输入姓名">
						</div>
						<div class="form-group">
							<label for="exampleInputPassword1">常用邮箱</label>
							<input type="text" class="form-control" id="exampleInputPassword1" placeholder="输入邮箱">
						</div>
						<div class="form-group">
							<label for="exampleInputPassword1">QQ号码</label>
							<input type="text" class="form-control" id="exampleInputPassword1" placeholder="输入QQ号">
						</div>
						<div class="form-group">
							<label for="exampleInputPassword1">联系电话</label>
							<input type="text" class="form-control" id="exampleInputPassword1" placeholder="输入联系电话">
						</div>
						<!--<div class="checkbox">
							<label>
						      <input type="checkbox"> 记住我
						    </label>
						</div>-->
						<button type="submit" class="btn btn-success center-block" style="width: 100%;">提 交 申 请</button>
					</form>
				</div>
			</div>
		</section>
		<!--login box-->

		<%@ include file="/WEB-INF/views/site/inc/footer.jsp"%>
	</body>
</html>